NPIMap

Organization Active NPI

Choose Life Inc

  • Neurology Chiropractor
  • Roswell, GA
National Provider Identifier
1831216886
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CHIR007215 Issued in GA
Legal business name
CHOOSE LIFE INC
Practice address
903 Bombay LN
Roswell, GA 30076-5829
Phone
(770) 664-4288
NPI assigned
Mar 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marc Allen Ellis, D.C. DACNBNPI 1073671970
Title
Vice President
Phone
(770) 664-4288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X CHIR007215 GA Primary

Addresses

Primary practice location

903 Bombay LN
Roswell, GA 30076-5829

Mailing address

903 Bombay LN
Roswell, GA 30076-5829
Phone (770) 664-4288

National Provider Directory

National Provider Directory

Locations

903 Bombay Ln
Roswell, GA 30076
Phone (770) 664-4288

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831216886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765829",
            "telephone_number": "770-664-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765829",
            "telephone_number": "770-664-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOOSE LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "770-664-4288",
        "authorized_official_credential": "D.C. DACNB"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "GA",
            "license": "CHIR007215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.